| Doctor Name: | ALEXIS EBERLE NELSON |
| NPI Number: | 1184916793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101253360 |
| Business Practice Address: | 3851 Roger Brooke Dr San Antonio Military Medical Center San Antonio, TX - 782344501 |
| Business Phone Number: | 2109162203 |
| Business Fax Number: | 2109163383 |
| Mailing Address: | 619 Cedar St, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782101216 |
| Phone Number: | 9374742785 |
| Fax Number: | 2109163833 |
| NPI Enumeration Date: | 05/15/2011 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101253360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |